| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,045 |
3,013 |
$227K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
748 |
748 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
342 |
339 |
$5K |
| 80061 |
Lipid panel |
385 |
385 |
$5K |
| 80053 |
Comprehensive metabolic panel |
406 |
405 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
51 |
50 |
$3K |
| 80050 |
General health panel |
56 |
56 |
$2K |
| 90686 |
|
95 |
94 |
$1K |
| 82043 |
|
111 |
111 |
$620.92 |
| 82570 |
|
111 |
111 |
$556.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$302.50 |
| 82607 |
|
15 |
15 |
$226.20 |
| 36415 |
Collection of venous blood by venipuncture |
225 |
224 |
$159.97 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
174 |
174 |
$0.00 |